| NPI | 1164962437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT005185) |
| Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: GA OT005185) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2021-11-29 |