| NPI | 1003306622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-15-08095) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2021-05-14 |