| NPI | 1649929365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WV 3747p1801x) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-04-06 |