| NPI | 1124602164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 5576) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT008054) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |