| NPI | 1154707164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401351500212) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2021-09-29 |