| NPI | 1548786866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician | |
| 106S00000X Behavior Technician (Licence: FL RBT-18-63494) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2023-09-05 |