NPI | 1225450265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-15-08820) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2014-01-10 |
Last Update Date | 2019-03-14 |