| NPI | 1003206368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 4718) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 9569) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2021-08-18 |