| NPI | 1861023608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2022-01-17 |