| NPI | 1821203308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW-15827) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-04-01 |