NPI | 1205313764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056.013942) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL 1861186) |
Enumeration Date | 2018-07-26 |
Last Update Date | 2020-12-19 |