| NPI | 1164903217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT007640) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2018030749) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2020-07-01 |