| NPI | 1336917095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-263610) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM.0106102-P) |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2024-06-20 |