| NPI | 1790547321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-12-10 |