NPI | 1568626687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: CA OT 8916) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2008-07-17 |
Last Update Date | 2015-09-18 |