| NPI | 1659985703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL M624-400-86-507-0) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL M624-400-86-507-0) |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2022-12-19 |