| NPI | 1306307699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT008829) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-82343) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-09-17 |