| NPI | 1356888036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 22447) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2021-07-08 |