| NPI | 1578912911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 12821) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 16094) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 16094) | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-01-20 |