| NPI | 1801211313 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: CA OT887) | 
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: CA OT887) | 
| Enumeration Date | 2014-02-20 | 
| Last Update Date | 2014-02-20 |