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 |