| NPI | 1003522988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-22-209210) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: FL 22-209210) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2026-03-23 |