| NPI | 1417380940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CA 4000) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2018-07-26 |