| NPI | 1487287108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |