| NPI | 1639736689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL ot12220) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2025-06-12 |