| NPI | 1124627294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 124149) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2023-11-03 |