| NPI | 1912276072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: RBT-21-189682) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 224Z00000X Occupational Therapy Assistant (Licence: MD A01595) | |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2022-09-08 |