| NPI | 1063055564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 5315) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WV 2076) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |