| NPI | 1144819152 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: IL RBT-20-149234) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IL 057.005410) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-14 |