| NPI | 1972161065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2023011865) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2024-07-08 |