| NPI | 1386167823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 5857-27) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IL 057.005764) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2022-06-20 |