| NPI | 1912563453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 804226) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2022-09-01 |