| NPI | 1629706312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT27180) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2026-06-13 |