| NPI | 1932857471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-122335) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2024-09-26 |