| NPI | 1134688872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 20990) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 103K00000X Behavior Analyst (Licence: 1-19-35501) | |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2021-03-01 |