| NPI | 1972359248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL BACB1134760) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL CBHCM104606) |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2025-06-23 |