| NPI | 1992392716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119010205) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2024-07-09 |