| NPI | 1679829675 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: UT 9621933-4201)  | 
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: CA 12544)  | 
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2012-07-27 | 
| Last Update Date | 2022-12-09 |