| NPI | 1053191098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-479978) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2025-11-08 |