| NPI | 1396209524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 7353) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-39329) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2024-11-13 |