| NPI | 1972957066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT17627) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-26-88584) |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2026-03-27 |