| NPI | 1093316291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131002400) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist (Licence: VA 0131002400) | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-18 |