| NPI | 1659873990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 10191) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-30372) |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2022-08-01 |