| NPI | 1043717804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 11440) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 4880) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |