| NPI | 1588202329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 122940) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-19-105381) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2022-08-18 |