| NPI | 1144623075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT3605) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist (Licence: FL OT16644) | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2021-03-05 |