NPI | 1790018604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: CA 12283) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KS 17-02578) |
225X00000X Occupational Therapist (Licence: MO 2009031801) | |
225X00000X Occupational Therapist (Licence: CA 12283) | |
Enumeration Date | 2009-09-09 |
Last Update Date | 2020-09-21 |