| NPI | 1023586518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 183893) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 15-10766) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2022-05-09 |