| NPI | 1821687120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT013128) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-150892) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2025-01-21 |