| NPI | 1760868558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-16-27710) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2024-10-09 |