| NPI | 1164029690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10635) |
| Additional Taxonomies | 225XE0001X Occupational Therapist Environmental Modification (Licence: NC 10635) |
| 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: NC 10635) | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |