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 |