| NPI | 1255832556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0007455) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 00002041) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2022-10-24 |