NPI | 1023515053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: HI OT-2433) |
Additional Taxonomies | 106S00000X Behavior Technician |
225X00000X Occupational Therapist (Licence: TX 123372) | |
Enumeration Date | 2018-04-06 |
Last Update Date | 2023-12-07 |