NPI | 1568881860 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 14249) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 41403) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2015-08-04 |