| NPI | 1346800927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2024-08-11 |