NPI | 1508742024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-461680) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL P623473501000) |
Enumeration Date | 2025-08-12 |
Last Update Date | 2025-09-30 |