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 |