| 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 |