| NPI | 1225485626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 20810) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2021-06-15 |