| NPI | 1093200990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SD 1316) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL bacb442607) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2022-10-13 |