| NPI | 1023764156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-204756) |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2025-03-13 |