| NPI | 1154994267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AR OT-A1882) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2023-01-09 |