| NPI | 1760956692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ OTH-009228) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2023-08-04 |