| NPI | 1437707817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 19-89542) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2022-05-16 |