| NPI | 1740750512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 524271) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2025-04-18 |