| NPI | 1124510060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-305008) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-10-19 |