NPI | 1538605183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-16-13014) |
Additional Taxonomies | 103K00000X Behavior Analyst |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-01-06 |
Last Update Date | 2022-01-25 |