NPI | 1831645571 |
---|---|
Former Name | ALYSSA BELLE CANTAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: CA 18210) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 18210) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2025-07-17 |