| NPI | 1053170472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-24-342249) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL 7799) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2026-01-14 |