NPI | 1417679945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-22-210473) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2022-09-12 |
Last Update Date | 2025-10-01 |