| NPI | 1073120168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT20916) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056.013607) |
| 225X00000X Occupational Therapist (Licence: KY 263940) | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |