| NPI | 1003462235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO RBT-20-137743) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2021-05-05 |