| NPI | 1043825722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 172V00000X Community Health Worker | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |