| NPI | 1356933675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: OK 2184) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2024-09-23 |