| NPI | 1295300358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist (Licence: MD 09981) | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2023-05-11 |