| NPI | 1033658133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 19-77400) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2023-04-13 |