| NPI | 1265985956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-17-32892) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2019-05-09 |