| NPI | 1639539950 |
|---|---|
| Former Name | KAITLYNN LILLIAN BORETSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 5132) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC014331) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2024-09-03 |