| NPI | 1255871695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-42082) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2026-02-26 |