| NPI | 1154108512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 072.0134398) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC016406) |
| 225X00000X Occupational Therapist (Licence: WA 61456729) | |
| 225X00000X Occupational Therapist (Licence: VA 0119010056) | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |