| NPI | 1639715600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 20445) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC012653) |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |