| NPI | 1679198980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 514942) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-20-119818) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2024-06-30 |