| NPI | 1487122586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0001339) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2020-08-10 |