| NPI | 1093012643 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OY7164)  | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT7164)  | 
| Enumeration Date | 2011-02-17 | 
| Last Update Date | 2011-02-17 |