| NPI | 1508448630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-214147) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2022-05-19 |