| NPI | 1043920424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-22-211758) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2026-06-10 |