| NPI | 1730827114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 175T00000X Peer Specialist | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2024-04-08 |