| NPI | 1104327311 |
|---|---|
| Former Name | ALICE KANG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT21269) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: NV 18-1021) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2020-12-11 |