| NPI | 1497444947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225A00000X Music Therapist |
| 106S00000X Behavior Technician (Licence: FL 23-270745) | |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2026-02-26 |