| NPI | 1922672492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-407322) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL CBHCM103331) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2025-02-06 |