| NPI | 1346629888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-56682) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2022-09-15 |