| NPI | 1972114767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2021-09-03 |