| 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 |