NPI | 1922534858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-21-157466) |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
Enumeration Date | 2017-05-11 |
Last Update Date | 2021-10-15 |