| NPI | 1942541032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-83010) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT15367) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2025-08-08 |