| NPI | 1346735636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 207Q00000X Family Medicine (Licence: NV CHW1-5444) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2023-08-07 |