| NPI | 1356970412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 125011) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-20-114824) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-09-23 |