NPI | 1205658077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-476578) |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
Enumeration Date | 2024-10-31 |
Last Update Date | 2025-10-02 |