NPI | 1265184022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-456368) |
Additional Taxonomies | 104100000X Social Worker |
171M00000X Case Manager/Care Coordinator (Licence: FL P102151) | |
Enumeration Date | 2022-01-24 |
Last Update Date | 2025-08-05 |