| NPI | 1538897293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-22-228588) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9426418) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-08-11 |