| NPI | 1598035727 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT14873) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-20-43853) | 
| 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT14873) | |
| Enumeration Date | 2012-01-04 | 
| Last Update Date | 2024-03-21 |