| NPI | 1275051500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 18-72563) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2026-03-11 |