| NPI | 1598433864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-22-201662) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM103681) | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-02-10 |