NPI | 1114426210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-306419) |
225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: CA 14695) | |
225XP0200X Occupational Therapist, Pediatrics (Licence: CA 14695) | |
Enumeration Date | 2018-02-05 |
Last Update Date | 2023-09-04 |