| NPI | 1053055509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 26727) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2026-01-02 |