| NPI | 1306499702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-04087) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KS RBT-19-82898) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2022-10-07 |