| NPI | 1295987154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AR OTR1480) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-14-17905) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2019-05-01 |