| NPI | 1295396521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OT26058) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2026-06-04 |