| NPI | 1891104840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL PHMC 1321) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2016-05-20 |