| NPI | 1447601158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL HHA) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-16-12719) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2024-09-25 |