| NPI | 1851174486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VT 1-17-28365) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VT 072.0000468) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |