| NPI | 1760026835 |
|---|---|
| Former Name | SOPHIA CHAITHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 24520) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-68276) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2023-01-27 |