| NPI | 1215432760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 13790) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist (Licence: CT 5746) | |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-06-27 |