NPI | 1144843905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT OTP-OT-LIC-11665) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2020-05-27 |
Last Update Date | 2025-03-03 |