| NPI | 1932668720 |
|---|---|
| Other Name | REYNA MICHELLE LUPO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2020-12-16 |