| NPI | 1659752160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-155057) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2023-02-22 |