| NPI | 1861074890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 22144) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY 246921) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |