| NPI | 1043832462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL BACB1150679) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL 0102697) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2025-12-02 |