| NPI | 1265931141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-52806) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2026-09-10 |