| NPI | 1003201245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 291388) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 14349) |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2021-10-14 |