| 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 |