| NPI | 1649559246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 9548) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-11-8009) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2025-10-03 |