| NPI | 1083987499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 7299) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA 7299) |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2021-05-21 |