| NPI | 1235893579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |