| NPI | 1366052425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT012901) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-20-112644) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2024-08-01 |