| NPI | 1245600345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL 21-505) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-56191) |
| 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM101530) | |
| 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: FL 140393) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2021-09-16 |