| NPI | 1639487929 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT23445)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-12-10298)  | 
| 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056.009846)  | |
| Enumeration Date | 2010-09-20 | 
| Last Update Date | 2023-09-12 |