| NPI | 1548797400 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: CA 19847) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 118345) | 
| Enumeration Date | 2017-05-22 | 
| Last Update Date | 2020-02-25 |