| NPI | 1194478370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB637778) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-08-29 |