| NPI | 1922633858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA15004) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2023-07-12 |