| NPI | 1942669411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: AR RBT-22-243317) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AR 1) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2022-11-22 |