| NPI | 1013581545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 10698) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2026-03-02 |