| NPI | 1184395139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT009619) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2025-08-12 |