| NPI | 1720648298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0008142) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 20108) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2024-02-20 |