| NPI | 1841708658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: OR 442183) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 442183) | |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2023-11-30 |