| NPI | 1134602162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 21953) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-18-29603) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2021-08-26 |