| NPI | 1235765942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 124550) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist (Licence: CA 27600) | |
| Enumeration Date | 2020-03-14 |
| Last Update Date | 2026-05-07 |