| NPI | 1710428537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-24-338333) |
| Additional Taxonomies | 104100000X Social Worker |
| 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM100217) | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2024-08-10 |