| NPI | 1265949119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK 197879) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-29988) |
| Enumeration Date | 2018-01-01 |
| Last Update Date | 2022-08-02 |