| NPI | 1073577268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119006320) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC009069) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2022-03-04 |