| NPI | 1912655572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT23-298884) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2025-06-05 |