| NPI | 1184261018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: CT 6039) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-09-04 |