| NPI | 1841067048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT23315254) |
| Enumeration Date | 2023-12-07 |
| Last Update Date | 2025-05-18 |