NPI | 1316615016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician |
Additional Taxonomies | 103K00000X Behavior Analyst |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2021-08-30 |
Last Update Date | 2023-06-15 |