| NPI | 1447688148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 14573) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 06154) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2014-11-25 |