| NPI | 1760869127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IN 32002387A) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2025-12-08 |