| NPI | 1407600240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: NE 28171831) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2025-07-20 |