| NPI | 1932744331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: CA 28539) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-11-10 |
| Last Update Date | 2026-03-10 |