NPI | 1093764060 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT11239) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL BACB 1-08-4716) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2024-02-06 |