| NPI | 1619382066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: CA 14151) |
| Additional Taxonomies | 225XG0600X Occupational Therapist Gerontology (Licence: CA 14151) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |