| NPI | 1659921435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 20-122819) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2025-07-07 |