| NPI | 1922658350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119-009018) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2021-05-12 |