| NPI | 1215578802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-309087) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2023-12-01 |