| NPI | 1922632181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: PR RBT-22-238504) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2023-05-23 |