| NPI | 1174074272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 14396) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 115319) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |