| NPI | 1649768581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCM.0104733) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2023-07-31 |