| NPI | 1689339798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ OTA-047210) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ RBT-21-191491) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2023-04-19 |