| NPI | 1497318786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-18-62026) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: GA CN0030006144) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2020-08-16 |