| NPI | 1003655200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-24-344126) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: FL P618276619000) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2025-10-09 |