| NPI | 1548743842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: NY 66289) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |