| NPI | 1962294082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: OH BACB1488869) |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 172A00000X Driver (Licence: OH TN651287) | |
| 374U00000X Home Health Aide (Licence: OH 402214691019) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: OH 402214691019) | |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2026-04-24 |