NPI | 1841855947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: CA 24974) |
Additional Taxonomies | 106S00000X Behavior Technician |
225XP0200X Occupational Therapist Pediatrics (Licence: MI 5201007520) | |
Enumeration Date | 2019-05-03 |
Last Update Date | 2023-06-05 |