| NPI | 1124583752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 225XG0600X Occupational Therapist, Gerontology | |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |