| NPI | 1871228395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-20-128033) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2025-09-17 |