| NPI | 1205423340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA17682) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-148826) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2026-01-16 |