| NPI | 1093463820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 251E00000X Home Health |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide (Licence: MI 230008874521103) | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2023-11-10 |