| NPI | 1316500366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 251E00000X Home Health | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2026-10-02 |