| NPI | 1639526403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 16-15057) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2022-06-10 |