| NPI | 1053804880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: IL 057.005589) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-17-44844) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2021-06-03 |