| NPI | 1174044143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA12878) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2024-08-16 |