| NPI | 1801630264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: KS 24-49053-032) |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-10-08 |