| NPI | 1811758485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2025-12-03 |