| NPI | 1104122381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 22236) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 116763) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2025-12-17 |