| NPI | 1558856039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |