| NPI | 1861202608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: FL 975568) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |