| NPI | 1053090712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0007674) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC018582) |
| 225X00000X Occupational Therapist (Licence: UT 12970735-4201) | |
| 225X00000X Occupational Therapist (Licence: AK 208731) | |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-03-27 |