| NPI | 1336602127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-63271) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-06-10 |