| NPI | 1194113381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT24190) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 319817) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2025-06-18 |