| NPI | 1588247142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31008728A) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2025-06-20 |