| NPI | 1114699246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 19436) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 18-67694) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2023-05-03 |