| NPI | 1558841460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 011659) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2024-12-04 |