| NPI | 1265938211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CA 4408) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2025-06-07 |