| NPI | 1770127177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 09581) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist (Licence: DC OT210002028) | |
| 225X00000X Occupational Therapist (Licence: VA 0119-009430) | |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2024-02-12 |