NPI | 1184009896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 117047) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1653) |
Enumeration Date | 2015-07-23 |
Last Update Date | 2023-05-20 |