| NPI | 1831902600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 251E00000X Home Health | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |