| NPI | 1558197699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL RBT24376812) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT24376812) |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-11-21 |