| NPI | 1235791419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-25-80803) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: HI OTA-198) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2025-04-23 |