| NPI | 1912685512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |