| NPI | 1568054344 |
|---|---|
| Former Name | ELIZAVETA POLTORATSKAYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2025-10-21 |