| NPI | 1932425352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NH RBT-18-50832) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2021-01-28 |