| NPI | 1265803217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 15649) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 294020) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2020-01-07 |