| NPI | 1043566896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT011261) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 1888) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2022-01-22 |