| NPI | 1205450632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20121215) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH25831) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2024-06-11 |