| NPI | 1699474031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 7279-27) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI RBT-23-259875) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2025-12-19 |