| NPI | 1306665740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: MD 72553617) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2025-05-03 |