| NPI | 1770152126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 8202) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC 11418) |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2024-12-02 |