| NPI | 1437612256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 5805-27) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WI RBT-19-75855) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2024-11-20 |