| NPI | 1881238525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: SD RBT-19-103542) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2024-01-19 |