| NPI | 1851005680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: FL 23070) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL 23070) |
| 106S00000X Behavior Technician (Licence: FL 23070) | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |