| NPI | 1942748215 |
|---|---|
| Former Name | RACHEL WONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-19-39839) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2023-08-14 |