| NPI | 1457022543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA200001353) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2024-03-13 |