| NPI | 1720594815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: MD HHA12758) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2023-03-21 |