| NPI | 1043990674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: SD 460A) |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2025-05-15 |