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 |