| NPI | 1306356043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 1041C0700X Social Worker, Clinical (Licence: FL ISW18260) | |
| 171W00000X Contractor (Licence: FL isw18260) | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2025-11-05 |