| NPI | 1386123131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 023009300) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2023-10-10 |