NPI | 1164170528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-119597) |
Additional Taxonomies | 251E00000X Home Health |
Enumeration Date | 2022-03-15 |
Last Update Date | 2024-09-23 |