| NPI | 1861072381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA OC61181989) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-07-23 |