| NPI | 1477038164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-121510) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: FL CNA221879) |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2024-10-07 |