| NPI | 1669593661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: 16-12489) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225A00000X Music Therapist | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-02-07 |