| NPI | 1265895411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 213075) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2020-09-13 |