| NPI | 1417254582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: PA Op009612) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2022-08-24 |