| NPI | 1114531092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XL0004X Occupational Therapist, Low Vision (Licence: NC 13461) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 13461) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-10-19 |