| NPI | 1508236282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 122758) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2022-06-03 |