| NPI | 1720505837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA19161) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL OTA19161) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2025-12-10 |