| NPI | 1912242355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 14428) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA oc012282) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2014-10-29 |