| NPI | 1629743984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-21-157976) |
| Additional Taxonomies | 225A00000X Music Therapist |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2026-04-14 |