| NPI | 1760803969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL BACB1455562) |
| 103TC1900X Psychologist, Counseling (Licence: PR 4321) | |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2025-12-04 |