| NPI | 1497221881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: CA 6167) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-18-50778) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2022-10-11 |