| NPI | 1285134874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 5927) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SC 17-45052) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2024-05-21 |