| NPI | 1528463312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL RBT-16-18220) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 103TR0400X Psychologist, Rehabilitation | |
| 104100000X Social Worker | |
| 106S00000X Behavior Technician | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 42451) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2023-10-27 |