| NPI | 1245799246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056014530) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KS RBT-19-79721) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2021-11-15 |