NPI | 1770034712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-17-35451) |
Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
Enumeration Date | 2016-10-14 |
Last Update Date | 2019-03-11 |