| NPI | 1639682867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 19239) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2022-11-18 |