| NPI | 1780346080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: OH 123326789) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH 24-354836) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2026-07-23 |