| NPI | 1265065700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: MD T-200-135-599-780) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2025-05-06 |