| NPI | 1053082560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 18591) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2023-10-25 |