| NPI | 1558817080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-22-214827) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2022-06-01 |