| NPI | 1154453173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: TN 4247) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 8296) |
| 225X00000X Occupational Therapist (Licence: NC 6557) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2016-08-04 |