| NPI | 1447778626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 19-93293) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: FL CNA209100) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2019-10-02 |