| NPI | 1912368408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA11692) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-22-200229) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2023-05-26 |