| NPI | 1235605791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-67772) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2024-08-22 |