| NPI | 1689285686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 125178) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-20-114998) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2024-12-04 |