| NPI | 1700528304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: OH RBT-22-211238) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-12-05 |