| NPI | 1104218700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10981) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 5625-26) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2026-08-25 |