NPI | 1518333798 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 14143) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: CA 43296) |
Enumeration Date | 2015-08-11 |
Last Update Date | 2016-02-03 |