| NPI | 1518564707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IN 32003910A) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-20-133447) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2025-09-02 |