NPI | 1629596622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 293906) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA OT16381) |
Enumeration Date | 2017-08-30 |
Last Update Date | 2022-07-21 |