NPI | 1972776805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA OT 5076) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: CA OT 5076) |
Enumeration Date | 2008-04-11 |
Last Update Date | 2008-04-11 |