| NPI | 1336700509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: 19-89931) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2023-02-23 |