| NPI | 1376974683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-119006) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN 9292643) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2023-01-23 |