| NPI | 1023790573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-24-337413) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2024-05-20 |