| NPI | 1306211784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376G00000X Nursing Home Administrator (Licence: GA 251S00000X) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 364S00000X) |
| 171WH0202X Contractor, Home Modifications (Licence: GA 58-2103386) | |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2015-12-10 |