| NPI | 1396119400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT1289) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital Children (Licence: CA OT1289) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |