| NPI | 1306713649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MD RBT-24-363331) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MD RBT-24-363331) |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-24 |