| NPI | 1306572003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 22-226519) |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2025-01-29 |