| NPI | 1619325198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-15-07671) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: FL RBT-15-07671) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2024-12-17 |