| NPI | 1457896284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61069716) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2020-07-08 |