| NPI | 1891350609 |
|---|---|
| Former Name | SAMANTHA JOY ZANTELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MI RBT-19-97427) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-09-04 |