| NPI | 1588849053 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 072.0134192) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 9741) | 
| 225X00000X Occupational Therapist (Licence: MA 09366) | |
| Enumeration Date | 2008-01-03 | 
| Last Update Date | 2022-09-19 |