NPI | 1225486889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-16-16132) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
247200000X Technician, Other | |
Enumeration Date | 2016-05-24 |
Last Update Date | 2022-10-10 |