| NPI | 1417379330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist Gerontology (Licence: CA 13008) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: CA 13008) |
| Enumeration Date | 2014-01-11 |
| Last Update Date | 2014-01-11 |