NPI | 1467723742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 19968) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-12-10343) |
Enumeration Date | 2012-01-19 |
Last Update Date | 2019-04-23 |