| NPI | 1043697402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-21-189645) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 103TS0200X Psychologist, School (Licence: PR 4097) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2025-12-16 |