| NPI | 1750960902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-127565) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2026-08-19 |