| NPI | 1770127482 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 17358) | 
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: CA 24972) | 
| Enumeration Date | 2019-11-05 | 
| Last Update Date | 2025-03-31 |