| NPI | 1760471742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WI 5437) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT6294) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2021-02-08 |