| NPI | 1588729511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 3053-T) |
| 225800000X Recreation Therapist (Licence: CA 3035-T) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2025-08-08 |