| NPI | 1538944194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-294711) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NJ 26NP08173500) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |