| NPI | 1215607817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN rbt-20-149070) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2025-06-24 |