| NPI | 1467968636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 25200) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-15-02881) |
| Enumeration Date | 2017-12-23 |
| Last Update Date | 2024-08-13 |