| NPI | 1649620907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-411489) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-30284) |
| 222Q00000X Developmental Therapist (Licence: FL 021100500) | |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2026-08-14 |