| NPI | 1114621414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 15781) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC .6790) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2025-02-28 |