| NPI | 1689042137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 12780) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 3923) |
| 224Z00000X Occupational Therapy Assistant (Licence: CA OTA 2607) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2018-07-17 |