| NPI | 1538468970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-68065) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: FL MA60250) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2025-08-12 |