| NPI | 1831624436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-77466) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2024-12-13 |