NPI | 1245895184 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 15394) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-05-06 |
Last Update Date | 2024-07-24 |