| NPI | 1588745582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-14-16123) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT5881) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-11-23 |