| NPI | 1578048526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NC 14631) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WI RBT-18-64087) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2022-01-11 |