| NPI | 1619404571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 08803) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2021-09-15 |