| NPI | 1164205480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119009980) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT24220) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |