| NPI | 1487246179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 1704060) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KS RBT-20-115096) |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2022-09-07 |