| NPI | 1376041830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CA 5092) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-48086) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2025-01-28 |