| NPI | 1164543997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119007575) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT002496) |
| 225X00000X Occupational Therapist (Licence: NC 7951) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-11-22 |