NPI | 1477058204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 106S00000X Behavior Technician |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2018-03-25 |
Last Update Date | 2021-10-20 |