NPI | 1811253594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-137531) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2012-04-06 |
Last Update Date | 2020-11-10 |