| NPI | 1588228613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NC 16220) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2024-07-25 |