| NPI | 1417307075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 21-164102) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 247200000X | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2022-10-10 |