| NPI | 1124738943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA rbt-22-228703) |
| Additional Taxonomies | 172A00000X Driver |
| 224ZR0403X Occupational Therapy Assistant, Driving and Community Mobility | |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2023-10-13 |