NPI | 1134836711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-126606) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2022-11-02 |
Last Update Date | 2025-08-13 |