| NPI | 1740797588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 23847) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-43881) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2024-10-07 |