| NPI | 1649856865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BT-20-119557) |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2022-11-18 |