| NPI | 1154727154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 20-118700) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: FL 689331796) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH28681) | |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2020-09-25 |