| NPI | 1477065431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-70591) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2026-05-13 |