| NPI | 1497992200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R2321) |
| 225X00000X Occupational Therapist (Licence: OH 004970) | |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2014-05-06 |