| NPI | 1306593512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 401729670315) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 374K00000X | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2023-12-03 |