| NPI | 1245801018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT21-159043) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-08-26 |