| 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 |