| NPI | 1114570538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT20943) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WV 2056) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2023-03-06 |