| NPI | 1023599503 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0005789)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist | 
| Enumeration Date | 2018-08-23 | 
| Last Update Date | 2024-10-10 |