| NPI | 1235642414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119009536) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist (Licence: NC 13938) | |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2023-03-21 |