| NPI | 1093075285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 13587) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 8141) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2020-10-12 |