| NPI | 1194337170 |
|---|---|
| Former Name | GRISELDA VILLEGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2023-07-26 |