NPI | 1023564820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT 12736) |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: 306755) |
225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: CA OT 12736) | |
Enumeration Date | 2016-08-31 |
Last Update Date | 2024-05-02 |