| NPI | 1790327088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 24017) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA F3605288) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2022-08-17 |