| NPI | 1326587288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| 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 |