| NPI | 1184090839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133004157) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131001433) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2025-05-17 |