| NPI | 1629968540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374700000X Technician |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-10-27 |