| NPI | 1700434834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 13873543-4201) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2024-06-26 |