| NPI | 1922531540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA17458) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2023-02-22 |