| NPI | 1932894508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-23-308261) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2024-05-22 |