| NPI | 1053603589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 4269) |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: CA 4269) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |