| NPI | 1770003485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA14312) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-147019) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2021-04-21 |