| NPI | 1851919419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL 20-125278) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA16030) |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2023-08-09 |