| NPI | 1053954933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 305487) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 00010676) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2023-05-18 |