| NPI | 1588014088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-21-166687) |
| Additional Taxonomies | 174400000X Specialist |
| 222Q00000X Developmental Therapist | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2023-10-30 |