| NPI | 1255527453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC 24-350900) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2024-06-25 |