| 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 |