| NPI | 1922215847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119006408) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT 14272) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-06-26 |