| NPI | 1124461058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11020) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 13145) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2016-10-28 |