| NPI | 1922695147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-21-161930) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 374U00000X Home Health Aide (Licence: 2999994610) | |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2021-09-29 |