| NPI | 1457952491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NC 13574) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2022-05-31 |