| NPI | 1316419872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL C166-000-70-949-0) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2020-09-22 |