| NPI | 1033775135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119010501) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 0005168) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2024-11-14 |