| NPI | 1982295143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WI 7193-27) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-01-31 |
| Last Update Date | 2025-08-25 |