| NPI | 1053915934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 11419) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 5805) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-11-23 |