NPI | 1619219664 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OAT12802) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2013-03-17 |
Last Update Date | 2020-03-17 |