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 |