| NPI | 1508649138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-278618) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL CNA341248) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |