| NPI | 1780206680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |