| NPI | 1063821528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 275463) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 13630) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 13630) | |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2024-05-13 |