| NPI | 1770267460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NC 23-296449) |
| Additional Taxonomies | 247000000X Technician, Health Information |
| 376K00000X Nurse's Aide (Licence: NC 535630) | |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2023-10-20 |