| NPI | 1285315887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AL 5717) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AL RBT-23-286281) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2025-01-15 |