| NPI | 1053857656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12261524) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 15325) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2022-10-06 |