| NPI | 1033778840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 305452) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2022-01-28 |