| NPI | 1770950198 |
|---|---|
| Former Name | IRENE SONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT 15729) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 15729) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2021-02-17 |