| NPI | 1063949162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-67929) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2022-05-19 |