| NPI | 1952711707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 13469) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2021-06-10 |