| NPI | 1295372977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 174400000X Specialist | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2024-07-22 |