NPI | 1326587288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: MA 1326587288) |
222Q00000X Developmental Therapist | |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2017-02-13 |
Last Update Date | 2020-10-11 |