| NPI | 1003531963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 23556) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA OTL31537) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2026-02-20 |