| NPI | 1861938375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CO 0000865) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2019-12-16 |