| NPI | 1578081675 |
|---|---|
| Former Name | ALYSE THAMM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2022030209) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2022030209) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2023-02-17 |