| NPI | 1104357672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 374U00000X Home Health Aide (Licence: OH SR510320) | |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2024-11-25 |