| NPI | 1649607581 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 4432)  | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics | 
| Enumeration Date | 2013-10-10 | 
| Last Update Date | 2014-09-05 |