| NPI | 1891567392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL rbt-25-493492) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: FL CBHCM.0106256-P) |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2025-12-23 |