| NPI | 1124641584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2025-01-23 |