NPI | 1568838308 |
---|---|
Former Name | AMY RZEPKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001128) |
Additional Taxonomies | 247200000X Technician, Other (Licence: MI 6301012745) |
Enumeration Date | 2015-08-17 |
Last Update Date | 2022-08-05 |