| NPI | 1548019714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NC 23-266791) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2024-05-18 |
| Last Update Date | 2024-05-18 |