| NPI | 1346591062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171M00000X Case Manager/Care Coordinator (Licence: FL R362653775460) | |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2020-11-16 |