| NPI | 1720456437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 321373) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2025-09-02 |