| NPI | 1669229712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: GA CN0030036010) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA CN0030036010) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-06 |