| NPI | 1457506222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-15-08450) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 642402696) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2020-03-02 |