| NPI | 1740773142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY 1509) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2020-08-11 |