NPI | 1306146550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT 6127) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT 6127) |
Enumeration Date | 2010-10-21 |
Last Update Date | 2010-10-21 |