| NPI | 1912496050 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 11885674-4201)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 18471)  | 
| 225X00000X Occupational Therapist (Licence: CO 5379)  | |
| Enumeration Date | 2018-05-03 | 
| Last Update Date | 2023-03-02 |