| NPI | 1346761012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT20750) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-07-21 |