| NPI | 1598323404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131-002719) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2022-08-02 |