| NPI | 1093029100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 22436) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2022-08-18 |