| NPI | 1376043703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 24386) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-49456) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2023-03-02 |