| NPI | 1245781004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 21238) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-24-78002) |
| 224Z00000X Occupational Therapy Assistant (Licence: FL 13475) | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2025-03-07 |