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 |