| NPI | 1588120638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ OTH-009323) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2023-10-13 |