NPI | 1588014088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-21-166687) |
Additional Taxonomies | 174400000X Specialist |
222Q00000X Developmental Therapist | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2016-06-15 |
Last Update Date | 2023-10-30 |