| NPI | 1730783622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 125953) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2026-06-20 |