| NPI | 1417508623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 21615) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 20440) |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2021-03-18 |