| NPI | 1134651557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2022-08-26 |