NPI | 1598210700 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 15766) |
Additional Taxonomies | 101Y00000X Counselor |
171W00000X Contractor (Licence: CA 15766) | |
Enumeration Date | 2016-08-17 |
Last Update Date | 2021-10-22 |