| NPI | 1689168569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 122815) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 18-57898) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2022-07-20 |