| NPI | 1821879420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-23-314892) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-12-19 |