| NPI | 1083021646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-63495) |
| 224Z00000X Occupational Therapy Assistant (Licence: FL OTA10840) | |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2018-09-08 |