| NPI | 1427565993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 17867) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-16-23199) |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2021-06-09 |