| NPI | 1073922340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: KY 50189217) |
| 376K00000X Nurse's Aide (Licence: OH 321741660114) | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2021-03-25 |