| NPI | 1043967839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 23245) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 23245) |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |