NPI | 1801353974 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: CA OT21904) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-02-25 |
Last Update Date | 2021-09-13 |