| NPI | 1306323548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY 17-35802) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2022-11-08 |