| NPI | 1164812863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 09752) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: MD T15880) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2022-10-19 |