| NPI | 1043835085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 289893) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-17-40533) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2024-02-13 |