| NPI | 1356902100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC .6669) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-19-89795) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2022-10-06 |