| NPI | 1487007548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 25-481696) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL 323331) |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2025-10-21 |