| NPI | 1326672445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0007601) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO BACB482887) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2022-10-06 |