| NPI | 1639828049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy (Licence: CA CPT-02212289) |
| 251E00000X Home Health | |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-04-12 |