| NPI | 1528303450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 3747P1801X Technician, Personal Care Attendant (Licence: OH 400238280503) | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2024-04-22 |