| NPI | 1982368981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: DE RBT-21-175860) |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2025-10-23 |