| NPI | 1790362861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-20-134323) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2023-03-16 |