| NPI | 1366935447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 224Z00000X Occupational Therapy Assistant | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2021-11-25 |