| NPI | 1356190805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NY V92923) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: FL 1192) |
| Enumeration Date | 2024-05-16 |
| Last Update Date | 2024-09-12 |