| NPI | 1912552324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 1092422) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 400328810204) |
| Enumeration Date | 2019-08-03 |
| Last Update Date | 2025-04-02 |