| NPI | 1811554231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-46098) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2024-12-02 |