| NPI | 1982057899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA CG60681495) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2022-01-14 |