| NPI | 1679289219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2026-01-23 |