| NPI | 1033775341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 8132) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: 215273) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2025-02-24 |