| NPI | 1306422696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-127652) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2023-09-05 |