NPI | 1982277810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: OH 402015151017) |
376K00000X Nurse's Aide (Licence: MI MIOH0056720R) | |
Enumeration Date | 2021-07-19 |
Last Update Date | 2023-01-12 |