| NPI | 1790130375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-122562) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 251E00000X Home Health | |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2020-09-17 |