NPI | 1043459340 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-15-19449) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT9265) |
225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT-9265) | |
Enumeration Date | 2009-02-10 |
Last Update Date | 2023-06-15 |