| NPI | 1861030876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-121825) |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2020-11-10 |