| NPI | 1760924708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: 20-117665) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2022-12-01 |