| NPI | 1336774991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 1164068367) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2023-08-02 |