| NPI | 1770862120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: HI 1168) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 5159) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2017-01-04 |