| NPI | 1205311552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WY 1467) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CO OT.0006183) | |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2021-06-10 |