| NPI | 1447918222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 7123-27) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WI RBT-21-192741) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2024-01-30 |