| NPI | 1952298044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-25-464017) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-08-22 |