| NPI | 1871193631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 121254) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT21163645) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2021-04-14 |