| NPI | 1568240588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-289592) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2025-07-08 |