| NPI | 1437662939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 21928) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2022-08-02 |