| NPI | 1366954257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician (Licence: FL 18-66797) | |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2023-09-25 |