| NPI | 1609236231 |
|---|---|
| Former Name | HANNAH WYSOPAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 105774) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2021-09-24 |