| NPI | 1477982155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NC BACB349105) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2017-08-07 |