| NPI | 1366987760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist Neurorehabilitation (Licence: TX 121868) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2021-06-18 |