| NPI | 1093130494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA13266) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-116573) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ10476) | |
| Enumeration Date | 2014-02-22 |
| Last Update Date | 2021-11-04 |