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 |