| NPI | 1407260649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-119097) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2020-05-25 |