| NPI | 1619367513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: AZ 7419) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 2522) |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2018-05-23 |