| NPI | 1407526684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 14236200-4201) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT BACB722024) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2025-08-08 |