| NPI | 1063988764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV OT-3320) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-18-68101) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2023-09-08 |