| NPI | 1932623873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: DC NA0000810836) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2024-09-14 |