| NPI | 1427713346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CA OTA5361) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2024-01-13 |