| NPI | 1306452297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 6350) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MS RBT-20-134865) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2024-07-16 |