| NPI | 1306385737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-142414) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 101Y00000X Counselor | |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2020-11-09 |