| NPI | 1629830302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251E00000X Home Health (Licence: MD RSA-02033) | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-08-29 |