| NPI | 1548767940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT21699) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2022-04-19 |