| NPI | 1154062768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-69592) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA17511) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2023-11-28 |