| NPI | 1194297754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103K00000X Behavior Analyst | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2024-04-11 |