| NPI | 1902695752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-433207) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCM.0108002-P) |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2026-03-17 |