| NPI | 1053017269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |