| NPI | 1972193761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IN RBT-25-417327) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 401754100515) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2025-11-11 |