| NPI | 1134771363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2022-06-22 |