| NPI | 1891116679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV LBA0086) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ 228) |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2020-09-16 |