| 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 |