NPI | 1114333234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT 14154) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT 14154) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2014-07-09 |