| NPI | 1164587549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2001015378) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2011001534) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2012-08-02 |