| NPI | 1083211148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-120049) |
| Additional Taxonomies | 102X00000X Poetry Therapist (Licence: FL BACB583046) |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2021-09-21 |