| NPI | 1689190407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 443050) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-07-21 |