| NPI | 1104465806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 430334) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MT OTP-OT-LIC-9495) |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2023-03-08 |