| NPI | 1326026691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA 307309) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 224Z00000X Occupational Therapy Assistant (Licence: CA OTA 1394) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2022-05-19 |