| NPI | 1093207128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA 18-54559) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA 18-54559) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2019-04-01 |