| NPI | 1710153317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005794) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA OT7645) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2018-04-04 |