| NPI | 1780040790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-18-52902) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2024-10-04 |