| NPI | 1366878845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 374U00000X Home Health Aide (Licence: DC HHA9013) | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2021-06-15 |