| NPI | 1053023176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NH EL13249) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 14075) |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2023-11-28 |