| NPI | 1215689674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-22-204326) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2023-03-24 |