| NPI | 1255893681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 374700000X Technician (Licence: VA 0031010496) | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |