| NPI | 1124641584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2024-06-03 |