| NPI | 1417208158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 12853) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 4374) |
| 225X00000X Occupational Therapist (Licence: CO 3322) | |
| 225X00000X Occupational Therapist (Licence: TX 113632) | |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |