| NPI | 1033287750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA PT13809) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT5351) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-12-11 |