NPI | 1952062143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Q00000X Developmental Therapist |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-180185) |
Enumeration Date | 2022-01-10 |
Last Update Date | 2023-01-24 |