| NPI | 1992234215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106S00000X Behavior Technician | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2021-06-22 |