| NPI | 1326796384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-141914) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2024-10-11 |