| NPI | 1730706938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH 106S00000X) |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2024-11-15 |