| NPI | 1811596612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119008657) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 18655) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |