| NPI | 1215206875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 20117) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT12406) |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2019-10-09 |