| NPI | 1306477948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: PA OP010293) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-02-02 |
| Last Update Date | 2022-08-29 |