| NPI | 1558980888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT20115544) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL 128630) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-05-14 |