| NPI | 1033717236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: FL F46081979620) |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |