| 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 |