| NPI | 1639584386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 2801) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2019-05-07 |