| NPI | 1720554157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT008769) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2023-03-14 |