| NPI | 1154963262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131002261) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2025-11-14 |