| NPI | 1629585278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT23924) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-28124) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2022-08-02 |