| NPI | 1962933010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA14275) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2018-04-07 |