| NPI | 1992198451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 42515) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 13901) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2026-01-05 |