| NPI | 1093252181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT2012681) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: FL MA 70606) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2022-03-30 |