| NPI | 1629871629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-26-527841) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2026-04-23 |