| NPI | 1922765049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-22-198902) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2022-01-06 |