| NPI | 1023603412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 21283) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 21655) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |