| NPI | 1205403789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0001490) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2021-11-24 |