| NPI | 1194363481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NM OT-2023-0203) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2024-05-30 |