| NPI | 1467800706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OTA16676) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-1615719) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2019-11-05 |