| NPI | 1972911402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT16030) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2022-03-17 |