| NPI | 1114776341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-24-347931) |
| Additional Taxonomies | 251B00000X Case Management (Licence: FL CBHCM.0107510-P) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2025-04-15 |