| NPI | 1396413068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 17326-24) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2025-10-21 |