| NPI | 1750047775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-04494) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist (Licence: MO 2025027598) | |
| Enumeration Date | 2021-11-14 |
| Last Update Date | 2025-08-10 |