| NPI | 1417626458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA20141) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2025-05-12 |