NPI | 1124149109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: CA OT10597) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA 004431) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2019-04-24 |