| NPI | 1447853288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: TX 217487) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 20144551) |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2022-08-05 |