| NPI | 1104443951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 006357) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2024-03-29 |