| NPI | 1154030252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: WI 0018483) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 0018483) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2022-11-17 |