| NPI | 1174417430 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: CA 5345) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 5638) | 
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2025-06-03 | 
| Last Update Date | 2025-06-03 |