| NPI | 1407530611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-439030) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2025-05-30 |