| NPI | 1740871615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 439649) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2024-07-08 |