| NPI | 1225481716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: CA 240169349) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 3486) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 2413) | |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2024-11-12 |