| NPI | 1205200359 |
|---|---|
| Former Name | JENNA ERLANDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-11-29 |
| Last Update Date | 2021-04-14 |