| NPI | 1528673399 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 20257) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 117700) | 
| Enumeration Date | 2020-09-09 | 
| Last Update Date | 2020-09-09 |