| NPI | 1649734807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: MI 230014498110709) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2025-12-09 |