| NPI | 1225644321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: KY 298241) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN RBT-20-132359) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2025-07-31 |