| NPI | 1902232887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OTT22597) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-94929) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2021-12-14 |