| NPI | 1396202271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5817) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 213466) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2023-12-04 |