| NPI | 1548001944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: AZ OTA-046612) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AZ OTA-046612) |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2024-11-20 |