| NPI | 1073137840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-20-124141) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-07-21 |