| NPI | 1104668409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 416709) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 19918) |
| 225X00000X Occupational Therapist (Licence: NC 14160) | |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |