| NPI | 1285156414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: KS RBT-17-36373) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC OT200001251) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2026-02-04 |