| NPI | 1043735277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT61199588) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: HI RBT-17-38200) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2021-07-24 |