| NPI | 1457984593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 15816) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2024-02-06 |