| NPI | 1730849415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-21-194979) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2026-07-13 |