| 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 |