| NPI | 1265055545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 011386) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2026-06-23 |