| NPI | 1295294577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT010264) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 19150) |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2019-03-17 |