| NPI | 1396449716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2024-05-01 |