| NPI | 1669242376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-319044) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-04-23 |