| NPI | 1003547167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS 3931) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 5822) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2022-06-20 |