| NPI | 1356466320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT5575) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 014179 DUP) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2009-05-20 |