| NPI | 1649967019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN176449MEDS-IV) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |