NPI | 1053967349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-56600) |
Enumeration Date | 2019-08-13 |
Last Update Date | 2025-09-16 |