| NPI | 1306235528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-18-67284) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2019-01-25 |