| NPI | 1427458801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-55270) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL COTA13373) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2022-04-26 |