| NPI | 1841971942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: P70877) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-06-18 |