| NPI | 1720725609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-22-218819) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-06-11 |