| NPI | 1881122695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 414946) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2021-03-10 |