| NPI | 1629313143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA OT13133) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-303637) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2025-10-09 |