| NPI | 1851184022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-439475) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-10-08 |