NPI | 1710503172 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA18716) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
Enumeration Date | 2020-06-22 |
Last Update Date | 2025-08-04 |