| NPI | 1043824188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-130812) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2025-06-11 |