| NPI | 1174071955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IA 083994) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 2214) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2020-02-14 |