| NPI | 1184976128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: AL 19-96621) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-10-14 |
| Last Update Date | 2024-03-19 |