| NPI | 1770287377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 171400000X Health & Wellness Coach | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-04-26 |