| NPI | 1801365465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 6056) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist (Licence: GA OT007423) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2021-11-11 |