| NPI | 1033759436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-19-109367) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL RBT-19-109367) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2021-07-23 |