| NPI | 1578801783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-19-78623) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2019-04-24 |