| NPI | 1306100839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-256453) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL 232581) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2023-02-28 |