| NPI | 1912544115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 8351-26) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2023-07-26 |